Well, I called the Office Manager at the Uro's today. She said, "Yes, you should have been paying 20% all along."
So, this is two years now that I've been a frequent patient there without them enforcing this rule on me, and now, WHAM, I get it right in the face. It hurt. Especially because I am such a good patron and they make so much money off of my Insurance Company, and also, I've always paid my bills with them.
So, since she is being so hard nosed, I am carefully reviewing my options. I thought about involving my Doctor, but, no, he would only back up his office manager. I did call Human Resources with my Employer and they are a bit confused, and will be looking into this with the Insurance Company. There is some issue about PPO's, as my Doctor is in the Provider Network.
I am thinking about taking my business to UNC Chapel Hill, which is 130 miles away, but they can provide me with State of the Art Urology and they did not require 20% up front when I was a Patient there last year. I had best call and verify this first before I make my decision, just to make sure.
At the very least, if I leave my Doctors care, he will be informed by letter as to my reasons WHY....
Some GOOD did come out of this. I reviewed my AFLAC Policy to see if it covered CT Scans. It does not cover CT's but it does cover Cystoscopies, so I've missed my benefit of $125.00 for about 8 cystoscopies. I will be filing for my check of $1,000 tomorrow.
Baffled in NC,
Rosemary